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General NPI Number Information
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NPI Number | 1477918761
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Entity Type | Organization
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Legal Business Name | BUFFALO CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 109 W HESSE ST
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City | BUFFALO
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State | WY
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Zip | 82834-1501
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Country | US
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Telephone | 307-684-2449
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Fax |
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Provider Business Mailing Address
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Address Line | 109 W HESSE ST
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City | BUFFALO
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State | WY
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Zip | 82834-1501
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Country | US
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Telephone | 307-684-2449
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ZOE M LOYD
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Credential | D.C.
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Telephone | 307-217-1941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 553
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License Number State | WY
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